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1609838861
CRAIG V BROUSSARD
LAKE CHARLES, LA
NPI
1609838861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 12750R)
Enumeration Date
2006-04-04
Last Update Date
2022-04-27
Business Address
CRAIG V BROUSSARD MD
4345 NELSON RD STE 201
LAKE CHARLES, LA 70605-4183
Phone number: 337-494-6800
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Mailing Address
CRAIG V BROUSSARD MD
PO BOX 122205 DEPT 2205
DALLAS, TX 75312-2205
Phone number: 337-494-2772
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